Generated Narrative: Questionnaire Moh505SectionAB Profile: http://hl7.org/fhir/4.0/StructureDefinition/Questionnaire Structure LinkID Text Cardinality Type Description & Constraints MOH 505 Health Facility Weekly Reporting Form - Section A and B for disease surveillance Questionnaire http://example.org/Questionnaire/Moh505SectionAB#0.1.0 #xD; 306799299 Diseases, Conditions or Events Information 0..1 group #xD; 745196148424 null 0..* choice Options: 1 option #xD; under5-cases < 5 years - Cases 0..1 integer Enable When: 745196148424 = AEFI (AEFI) #xD; under5-deaths < 5 years - Deaths 0..1 integer Enable When: 745196148424 = AEFI (AEFI) #xD; over5-cases ≥ 5 years - Cases 0..1 integer Enable When: 745196148424 = AEFI (AEFI) #xD; over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: 745196148424 = AEFI (AEFI) #xD; acute-jaundice null 0..* choice Options: 1 option #xD; acute-jaundice-under5-cases < 5 years - Cases 0..1 integer Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) #xD; acute-jaundice-under5-deaths < 5 years - Deaths 0..1 integer Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) #xD; acute-jaundice-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) #xD; acute-jaundice-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: acute-jaundice = Acute Jaundice (Acute Jaundice) #xD; acute-malnutrition null 0..* choice Options: 1 option #xD; acute-malnutrition-under5-cases < 5 years - Cases 0..1 integer Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) #xD; acute-malnutrition-under5-deaths < 5 years - Deaths 0..1 integer Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) #xD; acute-malnutrition-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) #xD; acute-malnutrition-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: acute-malnutrition = Acute Malnutrition (Acute Malnutrition) #xD; afp-poliomyelitis null 0..* choice Options: 1 option #xD; afp-poliomyelitis-under5-cases < 5 years - Cases 0..1 integer Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) #xD; afp-poliomyelitis-under5-deaths < 5 years - Deaths 0..1 integer Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) #xD; afp-poliomyelitis-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) #xD; afp-poliomyelitis-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: afp-poliomyelitis = AFP (Poliomyelitis) (AFP (Poliomyelitis)) #xD; anthrax null 0..* choice Options: 1 option #xD; anthrax-under5-cases < 5 years - Cases 0..1 integer Enable When: anthrax = Anthrax (Anthrax) #xD; anthrax-under5-deaths < 5 years - Deaths 0..1 integer Enable When: anthrax = Anthrax (Anthrax) #xD; anthrax-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: anthrax = Anthrax (Anthrax) #xD; anthrax-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: anthrax = Anthrax (Anthrax) #xD; cholera null 0..* choice Options: 1 option #xD; cholera-under5-cases < 5 years - Cases 0..1 integer Enable When: cholera = Cholera (Cholera) #xD; cholera-under5-deaths < 5 years - Deaths 0..1 integer Enable When: cholera = Cholera (Cholera) #xD; cholera-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: cholera = Cholera (Cholera) #xD; cholera-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: cholera = Cholera (Cholera) #xD; chikungunya null 0..* choice Options: 1 option #xD; chikungunya-under5-cases < 5 years - Cases 0..1 integer Enable When: chikungunya = Chikungunya (Chikungunya) #xD; chikungunya-under5-deaths < 5 years - Deaths 0..1 integer Enable When: chikungunya = Chikungunya (Chikungunya) #xD; chikungunya-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: chikungunya = Chikungunya (Chikungunya) #xD; chikungunya-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: chikungunya = Chikungunya (Chikungunya) #xD; covid-19 null 0..* choice Options: 1 option #xD; covid-19-under5-cases < 5 years - Cases 0..1 integer Enable When: covid-19 = COVID-19 (COVID-19) #xD; covid-19-under5-deaths < 5 years - Deaths 0..1 integer Enable When: covid-19 = COVID-19 (COVID-19) #xD; covid-19-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: covid-19 = COVID-19 (COVID-19) #xD; covid-19-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: covid-19 = COVID-19 (COVID-19) #xD; dengue null 0..* choice Options: 1 option #xD; dengue-under5-cases < 5 years - Cases 0..1 integer Enable When: dengue = Dengue (Dengue) #xD; dengue-under5-deaths < 5 years - Deaths 0..1 integer Enable When: dengue = Dengue (Dengue) #xD; dengue-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: dengue = Dengue (Dengue) #xD; dengue-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: dengue = Dengue (Dengue) #xD; dysentery-bacillary null 0..* choice Options: 1 option #xD; dysentery-bacillary-under5-cases < 5 years - Cases 0..1 integer Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) #xD; dysentery-bacillary-under5-deaths < 5 years - Deaths 0..1 integer Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) #xD; dysentery-bacillary-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) #xD; dysentery-bacillary-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: dysentery-bacillary = Dysentery (Bacillary) (Dysentery (Bacillary)) #xD; guinea-worm-disease null 0..* choice Options: 1 option #xD; guinea-worm-disease-under5-cases < 5 years - Cases 0..1 integer Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) #xD; guinea-worm-disease-under5-deaths < 5 years - Deaths 0..1 integer Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) #xD; guinea-worm-disease-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) #xD; guinea-worm-disease-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: guinea-worm-disease = Guinea Worm Disease (Guinea Worm Disease) #xD; measles null 0..* choice Options: 1 option #xD; measles-under5-cases < 5 years - Cases 0..1 integer Enable When: measles = Measles (Measles) #xD; measles-under5-deaths < 5 years - Deaths 0..1 integer Enable When: measles = Measles (Measles) #xD; measles-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: measles = Measles (Measles) #xD; measles-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: measles = Measles (Measles) #xD; suspected-malaria null 0..* choice Options: 1 option #xD; suspected-malaria-under5-cases < 5 years - Cases 0..1 integer Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) #xD; suspected-malaria-under5-deaths < 5 years - Deaths 0..1 integer Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) #xD; suspected-malaria-over5-cases ≥ 5 years - Cases 0..1 integer Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) #xD; suspected-malaria-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: suspected-malaria = Suspected Malaria (Suspected Malaria) #xD; deaths-due-to-malaria null 0..* choice Options: 1 option #xD; deaths-due-to-malaria-under5-deaths < 5 years - Deaths 0..1 integer Enable When: deaths-due-to-malaria = Deaths due to Malaria (Deaths due to Malaria) #xD; deaths-due-to-malaria-over5-deaths ≥ 5 years - Deaths 0..1 integer Enable When: deaths-due-to-malaria = Deaths due to Malaria (Deaths due to Malaria) #xD; 912271576972 null 0..* choice Options: 1 option #xD; 871055915491 < 5 years - Cases 0..1 integer Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) #xD; 388760057096 < 5 years - Deaths 0..1 integer Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) #xD; 483347883552 ≥ 5 years - Cases 0..1 integer Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) #xD; 983942974596 ≥ 5 years - Deaths 0..1 integer Enable When: 912271576972 = Bacterial Meningitis (bacterial-001) #xD; 475346107884 null 0..* choice Options: 1 option #xD; 584270141338 < 5 years - Deaths 0..1 integer Enable When: 475346107884 = Neonatal deaths (neonatal-deaths-01) #xD; 328118347844 null 0..* choice Options: 1 option #xD; 535840524666 < 5 years - Cases 0..1 integer Enable When: 328118347844 = Neonatal Tetanus (neonatal-tetanus-01) #xD; 703609548617 < 5 years - Deaths 0..1 integer Enable When: 328118347844 = Neonatal Tetanus (neonatal-tetanus-01) #xD; 579664664652 null 0..* choice Options: 1 option #xD; 327509292099 < 5 years - Cases 0..1 integer Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) #xD; 928912977066 < 5 years - Deaths 0..1 integer Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) #xD; 456099214566 ≥ 5 years - Cases 0..1 integer Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) #xD; 749207004486 ≥ 5 years - Deaths 0..1 integer Enable When: 579664664652 = Onchocerciasis (onchocerciasis-01) #xD; 308989393594 null 0..* choice Options: 1 option #xD; 861185632766 < 5 years - Cases 0..1 integer Enable When: 308989393594 = Plague (plague-001) #xD; 527963568905 < 5 years - Deaths 0..1 integer Enable When: 308989393594 = Plague (plague-001) #xD; 522287058576 ≥ 5 years - Cases 0..1 integer Enable When: 308989393594 = Plague (plague-001) #xD; 767020876711 ≥ 5 years - Deaths 0..1 integer Enable When: 308989393594 = Plague (plague-001) #xD; 530042020681 null 0..* choice Options: 1 option #xD; 429458582182 < 5 years - Cases 0..1 integer Enable When: 530042020681 = Rabies (rabies-01) #xD; 905150141868 < 5 years - Deaths 0..1 integer Enable When: 530042020681 = Rabies (rabies-01) #xD; 387904256180 ≥ 5 years - Cases 0..1 integer Enable When: 530042020681 = Rabies (rabies-01) #xD; 562965993138 ≥ 5 years - Deaths 0..1 integer Enable When: 530042020681 = Rabies (rabies-01) #xD; 275577537077 null 0..* choice Options: 1 option #xD; 323838584718 < 5 years - Cases 0..1 integer Enable When: 275577537077 = Rift Valley Fever (rvalley-001) #xD; 648517764763 < 5 years - Death 0..1 integer Enable When: 275577537077 = Rift Valley Fever (rvalley-001) #xD; 744618342377 ≥ 5 years - Cases 0..1 integer Enable When: 275577537077 = Rift Valley Fever (rvalley-001) #xD; 633791890892 ≥ 5 years - Deaths 0..1 integer Enable When: 275577537077 = Rift Valley Fever (rvalley-001) #xD; 190531820152 null 0..* choice Options: 1 option #xD; 187421454190 < 5 years - Cases 0..1 integer Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) #xD; 913264965600 < 5 years - Deaths 0..1 integer Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) #xD; 457868958971 ≥ 5 years - Cases 0..1 integer Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) #xD; 707780066440 ≥ 5 years - Deaths 0..1 integer Enable When: 190531820152 = SARI (Cluster ≥3 cases) (sari-001) #xD; 247259460116 null 0..* choice Options: 1 option #xD; 405042028703 < 5 years - Cases 0..1 integer Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) #xD; 353646489103 < 5 years - Deaths 0..1 integer Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) #xD; 814159240132 ≥ 5 years - Cases 0..1 integer Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) #xD; 300851141211 ≥ 5 years - Deaths 0..1 integer Enable When: 247259460116 = Suspected MDR/XDR TB (sus-mdrtb-01) #xD; 999646592522 null 0..* choice Options: 1 option #xD; 644607660026 < 5 years - Cases 0..1 integer Enable When: 999646592522 = Typhoid (typhoid-01) #xD; 852318756537 < 5 years - Deaths 0..1 integer Enable When: 999646592522 = Typhoid (typhoid-01) #xD; 154498634367 ≥ 5 years - Cases 0..1 integer Enable When: 999646592522 = Typhoid (typhoid-01) #xD; 834781032739 ≥ 5 years - Deaths 0..1 integer Enable When: 999646592522 = Typhoid (typhoid-01) #xD; 253208219241 null 0..* choice Options: 1 option #xD; 174646115502 < 5 years - Cases 0..1 integer Enable When: 253208219241 = VHF (vhf-001) #xD; 938639360599 < 5 years - Deaths 0..1 integer Enable When: 253208219241 = VHF (vhf-001) #xD; 348108803545 ≥ 5 years - Cases 0..1 integer Enable When: 253208219241 = VHF (vhf-001) #xD; 225148682326 ≥ 5 years - Deaths 0..1 integer Enable When: 253208219241 = VHF (vhf-001) #xD; 927616098552 null 0..* choice Options: 1 option #xD; 233263428018 < 5 years - Cases 0..1 integer Enable When: 927616098552 = Yellow Fever (yellow-fever-01) #xD; 106909693192 < 5 years - Deaths 0..1 integer Enable When: 927616098552 = Yellow Fever (yellow-fever-01) #xD; 548126975266 ≥ 5 years - Cases 0..1 integer Enable When: 927616098552 = Yellow Fever (yellow-fever-01) #xD; 987655215954 ≥ 5 years - Deaths 0..1 integer Enable When: 927616098552 = Yellow Fever (yellow-fever-01) #xD; 751930533175 null 0..* choice Options: 1 option #xD; 420006947029 < 5 years - Cases 0..1 integer Enable When: 751930533175 = Zika Virus (zika-001) #xD; 986642803777 < 5 years - Death 0..1 integer Enable When: 751930533175 = Zika Virus (zika-001) #xD; 920507828586 ≥ 5 years - Cases 0..1 integer Enable When: 751930533175 = Zika Virus (zika-001) #xD; 309011706825 ≥ 5 years - Death 0..1 integer Enable When: 751930533175 = Zika Virus (zika-001) #xD; 373223788626 null 0..* choice Options: 1 option #xD; 585220688263 < 5 years - Cases 0..1 integer Enable When: 373223788626 = Others (Specify) (others-Specify-01) #xD; 732578632850 < 5 years - Death 0..1 integer Enable When: 373223788626 = Others (Specify) (others-Specify-01) #xD; 493210056237 ≥ 5 years - Cases 0..1 integer Enable When: 373223788626 = Others (Specify) (others-Specify-01) #xD; 683538126910 ≥ 5 years - Deaths 0..1 integer Enable When: 373223788626 = Others (Specify) (others-Specify-01) #xD; Documentation for this format Options Sets Answer options for 745196148424 null#AEFI ("AEFI") Answer options for acute-jaundice null#Acute Jaundice ("Acute Jaundice") Answer options for acute-malnutrition null#Acute Malnutrition ("Acute Malnutrition") Answer options for afp-poliomyelitis null#AFP (Poliomyelitis) ("AFP (Poliomyelitis)") Answer options for anthrax null#Anthrax ("Anthrax") Answer options for cholera null#Cholera ("Cholera") Answer options for chikungunya null#Chikungunya ("Chikungunya") Answer options for covid-19 null#COVID-19 ("COVID-19") Answer options for dengue null#Dengue ("Dengue") Answer options for dysentery-bacillary null#Dysentery (Bacillary) ("Dysentery (Bacillary)") Answer options for guinea-worm-disease null#Guinea Worm Disease ("Guinea Worm Disease") Answer options for measles null#Measles ("Measles") Answer options for suspected-malaria null#Suspected Malaria ("Suspected Malaria") Answer options for deaths-due-to-malaria null#Deaths due to Malaria ("Deaths due to Malaria") Answer options for 912271576972 null#bacterial-001 ("Bacterial Meningitis") Answer options for 475346107884 null#neonatal-deaths-01 ("Neonatal deaths") Answer options for 328118347844 null#neonatal-tetanus-01 ("Neonatal Tetanus") Answer options for 579664664652 null#onchocerciasis-01 ("Onchocerciasis") Answer options for 308989393594 null#plague-001 ("Plague") Answer options for 530042020681 null#rabies-01 ("Rabies") Answer options for 275577537077 null#rvalley-001 ("Rift Valley Fever") Answer options for 190531820152 null#sari-001 ("SARI (Cluster ≥3 cases)") Answer options for 247259460116 null#sus-mdrtb-01 ("Suspected MDR/XDR TB") Answer options for 999646592522 null#typhoid-01 ("Typhoid") Answer options for 253208219241 null#vhf-001 ("VHF") Answer options for 927616098552 null#yellow-fever-01 ("Yellow Fever") Answer options for 751930533175 null#zika-001 ("Zika Virus") Answer options for 373223788626 null#others-Specify-01 ("Others (Specify)")
MOH 505 - Health Facility Weekly Reporting Form
MOH 505 Health Facility Weekly Reporting Form - Section A and B for disease surveillance
Diseases, Conditions or Events Information